Healthcare Provider Details

I. General information

NPI: 1225038417
Provider Name (Legal Business Name): HIGHLAND PRIMARY CARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 HIGHLAND AVE
NEWBURYPORT MA
01950-3872
US

IV. Provider business mailing address

21 HIGHLAND AVE SUITE 2 HIGHLAND PRIMARY CARE ASSOCIATES INC
NEWBURYPORT MA
01950-3872
US

V. Phone/Fax

Practice location:
  • Phone: 978-463-7770
  • Fax: 978-462-0220
Mailing address:
  • Phone: 978-463-7770
  • Fax: 978-462-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMA

VIII. Authorized Official

Name: ALAIN-MARC WERNER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 978-463-7770